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Artigo em Inglês | MEDLINE | ID: mdl-15316551

RESUMO

OBJECTIVE: The dentinal walls of root-end cavities were examined for the presence of cracks and debris in correlation with the area of the root surfaces that remained after the resection. STUDY DESIGN: One hundred extracted single-rooted teeth were endodontically treated, mounted in acrylic resin blocks, and the apical 2 mm of the root-apex was resected. According to the resected root surface area the teeth were divided into 2 groups having large (>2 mm(2)) or small (<2 mm(2)) surface area. For retrograde cavity preparation 4 devices were used: slow-speed handpiece, diamond coated stainless steel ultrasonic tip, smooth stainless steel ultrasonic tips, and sonic diamond-coated tips. Teeth were examined under a videomicroscope for the presence of fractures, dentin chips, and gutta-percha remnants on cavity walls. Preparation time was also recorded. RESULTS: Preparation with smooth stainless steel ultrasonic tips produced few intradentin cracks. Dentin debris was more frequently seen in rotary preparations whereas gutta-percha remnants were seen mainly at ultrasonically prepared teeth. CONCLUSIONS: Sonic and ultrasonic devices produced cleaner, well-centered, and more conservative root-end cavities than the rotary instrumentation. Cracks do not correlate directly with the surface area of the root-end surfaces but rather with the type of retrotip used to prepare the root-end cavity.


Assuntos
Obturação Retrógrada/métodos , Preparo de Canal Radicular/métodos , Ápice Dentário/patologia , Apicectomia , Materiais Revestidos Biocompatíveis/química , Cavidade Pulpar/patologia , Dentina/patologia , Diamante/química , Desenho de Equipamento , Guta-Percha/química , Humanos , Microscopia de Vídeo , Odontometria , Obturação Retrógrada/instrumentação , Materiais Restauradores do Canal Radicular/química , Preparo de Canal Radicular/instrumentação , Aço Inoxidável/química , Terapia por Ultrassom/instrumentação
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